Provider Demographics
NPI:1932665437
Name:TOP CARE MEDICAL GROUP INC
Entity Type:Organization
Organization Name:TOP CARE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-307-0560
Mailing Address - Street 1:2222 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-2904
Mailing Address - Country:US
Mailing Address - Phone:408-307-0560
Mailing Address - Fax:408-988-0112
Practice Address - Street 1:2820 ALUM ROCK AVE STE 20
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-5608
Practice Address - Country:US
Practice Address - Phone:408-307-0560
Practice Address - Fax:408-988-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty